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Olutungie Terry
Student in an Organized Health Care Education/Training Program in Anaheim, California
NPI 1982340766

Olutungie Terry is a Student in an Organized Health Care Education/Training Program based in Anaheim, CA. Olutungie Terry practices in Anaheim, CA. The NPI Number for Olutungie Terry is 1982340766 and holds a License No. (California).

The current practice location address for Olutungie Terry is 128 E Leatrice Ln Apt 3, Anaheim, CA and can be reached out via phone at 661-435-1641.

Location: 128 E Leatrice Ln Apt 3, Anaheim, CA, 92802-4248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982340766
Provider Name
Olutungie Terry
Credential
Provider Entity Type
Individual
Gender
Male
Address
128 E Leatrice Ln Apt 3, Anaheim, CA, 92802-4248
Phone Number
661-435-1641
Fax Number
Provider Enumeration Date
05/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
128 E Leatrice Ln Apt 3
City
Anaheim
State
California
Zip
92802-4248
Phone Number
661-435-1641
Fax Number
person
Provider Business Mailing Address Details
Address
128 E Leatrice Ln Apt 3
City
Anaheim
State
California
Zip
92802-4248
Phone Number
661-435-1641
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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